| NPI | 1861266454 |
|---|---|
| Doing Business As | LINCOLN PARK WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JEANETTE SOTO Credentialing /Manager 312-607-2334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-12-04 |